摘要
目的通过分析我院结直肠癌患者中心静脉导管(PICC)置管感染的相关影响因素,探讨有效的方法降低PICC导管相关性感染的发生。方法2014年3月至2017年2月在我院置入PICC导管并进行维护的141例患者,对其进行相关感染因素的监测与分析。结果141例患者发生导管相关性感染25例,发生率17.7%。穿刺次数、PICC留置时间、化疗次数、白细胞计数及糖尿病5个变量与导管感染相关,差异有统计学意义(P<0.05)。2例导管相关性血液感染:血培养和导管尖端培养菌均培养出表皮葡萄球菌;7例导管定植菌:分别为凝固酶阴性葡萄球菌感染3例,表皮葡萄球菌感染2例,清酒假丝酵母菌及沃氏葡萄球菌感染各1例。Logistic回归分析显示,导管感染的相关影响因素依次为穿刺次数,PICC留置时间,白细胞计数,糖尿病,化疗次数。结论结直肠癌患者PICC置管期间,护理工作者应当采取积极的预防措施,规范进行置管操作,可降低PICC相关感染发生概率。
Objective To explore the effective methods to reduce the incidence of catheter-related infection through analysis of related factors of peripherally inserted central catheter(PICC)infection in patients with colorectal cancer in our hospital.Methods One hundred and forty-one colorectal cancer patients with PICC maintained in our hospital from March 2014 to February 2017 were monitored and infection related factors were analyzed.Results Of the 141 patients,25 had PICC infection and the incidence was 17.7%.Puncture times,PICC retention time,chemotherapy times,leukocyte count and diabetes mellitus were related to infection(P<0.05).There were 2 cases with blood infection.Staphylococcus epidermidis was cultured in both blood culture and catheter tip culture.There were 7 cases with catheter colonization.There were 3 cases with coagulase negative staphylococcus infection,2 cases with staphylococcus epidermidis infection,1 case with candida and 1 case with staphylococcus.Logistic regression analysis showed that the infection related factors were puncture times,PICC retention time,leukocyte count,diabetes mellitus and chemotherapy times.Conclusion To prevent such infections,risk factors should be evaluated sufficiently before PICC placement and strict operation should be conducted during PICC placement.
作者
卢威男
张春燕
蔺小霞
蒋文秀
熊芸
LU Wei-nan;ZHANG Chun-yan;LIN Xiao-xia;JIANG Wen-xiu;XIONG Yun(Department of Gastroenterology,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China;Department of Nephrology,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China;Department of Pediatrics,The First Affiliated Hospital,Chengdu Medical College,Chengdu 610500,China;Department of Integrated Traditional Chinese and Western Medicine,Bayi Rehabilitation Center,Chengdu 610041,China)
出处
《实用医院临床杂志》
2020年第1期116-119,共4页
Practical Journal of Clinical Medicine
